Laurel Pennington

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-68456 Issued in SC

Practice address

4515 Spruill Ave
North Charleston, SC 29405-4764

Phone

(843) 352-7049

Fax

(615) 815-1946

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053902601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931142",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SPRUILL AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054764",
            "telephone_number": "843-352-7049",
            "fax_number": "615-815-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-23-68456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peele, D.D.S
• Avery Pegues
• Brandon Pelkey
• Geneice Pendarvis
• Allison M Pennington
• Nicholas Norbert Pennington, MD
• Kaylann Penny, PT
• Deborah J Perdue, RN
• Periodontic Specialists by Solomon Dental LLC
• Marion Jeannelle Perkins-Muhammad, LMFT

• Behavior Analyst in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.